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ElderServe Health Inc. Grievance Procedure - MLTC NY
Elderserve Grievance and Appeal MLTC.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy is undated.
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06 Feb, 2013
27 kb
Downloads: 5806
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ElderServe Health Inc. Adverse Determination Appeals - MLTC NY
Elderserve Action and Appeal MLTC.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy has no date.
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06 Feb, 2013
31 kb
Downloads: 6650
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Centerlight CCM Select Grievance Policy MLTC - NY
CCM Select Grievance Policy APPROVED.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy dated Jan. 19, 2006.
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06 Feb, 2013
35 kb
Downloads: 4208
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Elderpan, Inc. Adverse Determination Policy MAP - NY
Elderplan MAP AppealsDRAFT.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy is labeled "draft" and has no effective date.
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05 Feb, 2013
89 kb
Downloads: 5095
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Fidelis Appeals of Adverse Determinations (and Grievance information) MAP - NY
Fidelis MAP appeals and grievance policy.pdf
Policy obtained January 2013 through FOIL Request to DOH. Document dated August 2009 labeled "draft." For appeals information see page 9.
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05 Feb, 2013
85 kb
Downloads: 8263
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HealthPlus (Amerigroup) Appeals of Adverse Determinations - MAP - NY
Amerigroup MAP Appeals of Adverse Determinations .pdf
Policy obtained January 2013 through FOIL Request to DOH. Effective date of policy Feb. 1, 2010.
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05 Feb, 2013
101 kb
Downloads: 3996
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HealthFirst CompleteCare Notice of Action and Appeals
Healthfirst MAP Notice of Action and Appeals.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy contains no date.
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05 Feb, 2013
44 kb
Downloads: 4611
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HealthFirst CompleteCare Adverse Determinations Policy - MAP
Healthfirst MAP Adv Determination & Adv Org Determinations 1.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy last revised in Sept. 2011.
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05 Feb, 2013
31 kb
Downloads: 4275
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AmeriGroup Appeals of Adverse Determinations - Policy MLTC
Amerigroup Appeals of Adverse Determinations - MLTC - NY.pdf
Policy Obtained January 2013 through FOIL Request to DOH, last Revised March 24, 2011
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01 Feb, 2013
103 kb
Downloads: 4841
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Performance Standards & Quality Measures for New York FIDA program
Recs re Performance Standards and Quality Measures - with State rec measures 010913.pdf
This document was authored by the New York Coalition to Protect Dual Eligibles as input for the NY State Department of Health's Quality Work Group which was formed in the fall of 2012 to collect stakeholder input on the design of the Fully Integrated Dual Advantage (FIDA) program. The paper focuses on the need to create new quality measures to ensure appropriate measurement of plan performance and to provide incentives to shift care from institutions to the community.
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29 Jan, 2013
154 kb
Downloads: 3704
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